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Can child-focused sanitation and nutrition programming improve health practices and outcomes? Evidence from a randomised controlled trial in Kitui County, Kenya. In Kenya's Kitui County, 46% of children under 5 years are stunted. Sanitation and nutrition programmes have sought to reduce child undernutrition, though they are typically implemented separately. We evaluate the effectiveness of an integrated sanitation and nutrition (SanNut) intervention in improving caregiver sanitation (...) villages only received the CLTS intervention. 8 households with children under 5 years were randomly selected from each evaluation village to participate in the endline survey, for a total of 4322 households.SanNut led to modest improvements in sanitary knowledge and practices emphasised by the programme. Caregivers in treatment villages were 3.3 pp (+32%) more likely to mention lack of handwashing after handling child faeces as a potential cause of diarrhoea, and 4.9 pp (+7.8%) more likely to report
Influence of infant feeding on the excretion of gluten immunopeptides in feces. the secretion of antigens from the diet into breast milk has been extensively documented. The transfer of gliadin could be critical for the development of an immune response.to investigate the presence of immunogenic gluten peptides in the feces of infants fed with different diets.a blind, prospective, controlled, collaborative study was performed in three hospitals, between September 2016 and January 2017 (...) . The study protocol was approved by the Ethics Committee of the hospitals in Seville prior to starting the study.the cohort was divided into three groups of 30 infants: an experimental group (average age 9.2 ± 2.8 weeks) with exclusive breastfeeding, a control group 1 (average age 10.3 ± 3.3 weeks) exclusively fed with onset formula and a control group 2 (average age 56 ± 3.7 weeks) with infants that consumed gluten on a regular basis. The peptide 33-mer of gliadin was negative in all feces samples from
, which can result in skin breakdown and ulceration when used over prolonged periods of time . Discussion of Procedures by Variant Variant 1: Child, 3 to 16 years of age, acute cervical spine trauma, meets low risk criteria (based on PECARN or NEXUS). Initial imaging. Radiography Cervical Spine The routine radiograph of the cervical spine in children with head trauma has a very low yield; in fact, the two cases of cervical injury in a cohort of 905 infants (0.02%) were due to an abusive trauma (...) , 2018. 3. Dogan S, Safavi-Abbasi S, Theodore N, et al. Thoracolumbar and sacral spinal injuries in children and adolescents: a review of 89 cases. J Neurosurg 2007;106:426-33. 4. Katz JS, Oluigbo CO, Wilkinson CC, McNatt S, Handler MH. Prevalence of cervical spine injury in infants with head trauma. J Neurosurg Pediatr 2010;5:470-3. 5. Ryan ME, Palasis S, Saigal G, et al. ACR Appropriateness Criteria head trauma--child. J Am Coll Radiol 2014;11:939-47. 6. Madura CJ, Johnston JM, Jr. Classification
Suspected Appendicitis?Child New 2018 ACR Appropriateness Criteria ® 1 Suspected Appendicitis–Child American College of Radiology ACR Appropriateness Criteria ® Suspected Appendicitis–Child Variant 1: Child. Suspected acute appendicitis, low clinical risk. Initial imaging. Procedure Appropriateness Category Relative Radiation Level CT abdomen and pelvis with IV contrast Usually Not Appropriate ?? ?? CT abdomen and pelvis without and with IV contrast Usually Not Appropriate ?? ?? ? CT abdomen (...) and pelvis without IV contrast Usually Not Appropriate ?? ?? MRI abdomen and pelvis without and with IV contrast Usually Not Appropriate O MRI abdomen and pelvis without IV contrast Usually Not Appropriate O US abdomen Usually Not Appropriate O US abdomen RLQ Usually Not Appropriate O US pelvis Usually Not Appropriate O Radiography abdomen Usually Not Appropriate ?? Variant 2: Child. Suspected acute appendicitis, intermediate clinical risk. Initial imaging. Procedure Appropriateness Category Relative
of parents making informed decisions about how to feed their infants and young children. A foundation of health within the public health Nurturing the Next Generation strategic priority is infant and child nutrition which identified that infants need to be breastfed as much as possible for as long as possible. The Region of Peel - Public Health achieved Baby-Friendly Initiative (BFI) designation in 2009 as did Trillium Health Partners in 2017. Brampton Civic Hospital is working towards designation (...) - Public Health achieved Baby-Friendly Initiative (BFI) designation in 2009. We are committed to providing parents with evidence to use in deciding how and what to feed their infants and young children. Currently, within the Family Health Division, all staff provide information to clients based on breastfeeding key messages which were developed nearly a decade ago. It is time to update these messages. In addition to providing evidence to update key messages for parents, this research review will inform
put down (side or prone) using a dummy, bedding and clothes higher than 10tog, and found with head covered by bedding” Blair, 2009 Case-control SIDS cases were up to two years of age. Controls were the approximately the same age and weight as cases. Two group of controls: 1. Infants randomly chosen (n=87) 2. High risk (i.e. significant predictors of SIDS) (n=82) England Co-sleeping: infant sharing the same bed or sofa with an adult or a child. Multivariate model to test for interaction between co (...) Sharing a Sleep Surface with an Infant in the First Year of Life: A Rapid Review Sharing a Sleep Surface with an Infant in the First Year of Life A Rapid Review Ava Nainifard, Analyst, Research & Policy Elizabeth Walker, Analyst, Research & Policy Eileen Viloria-Tan, Acting Manager November 2018 i Table of Contents Key Messages 2 Executive Summary 3 1 Issue 5 2 Context 6 3 Literature Review Question 7 4 Literature Search 8 5 Relevance Assessment 8 6 Results of the Search 9 7 Critical Appraisal
Scoliosis ? Child New 2018 ACR Appropriateness Criteria ® 1 Scoliosis–Child American College of Radiology ACR Appropriateness Criteria ® Scoliosis-Child Variant 1: Child. Congenital scoliosis. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography complete spine Usually Appropriate ?? ? MRI complete spine without IV contrast Usually Appropriate O CT spine area of interest without IV contrast May Be Appropriate (Disagreement) Varies MRI complete spine without (...) and with IV contrast Usually Not Appropriate O CT spine area of interest with IV contrast Usually Not Appropriate Varies CT spine area of interest without and with IV contrast Usually Not Appropriate Varies Tc-99m bone scan complete spine Usually Not Appropriate ?? ? ? Variant 2: Child (0 to 9 years of age). Early onset idiopathic scoliosis. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography complete spine Usually Appropriate ?? ? MRI complete spine without IV
with an infant teething indication are becoming pharmacy medicines; newly manufactured products with updated instructions will be available only in pharmacies where advice on their correct use and on babies’ health can be given – see pharmacists should only recommend use of these products when local non-medicinal treatments such as a teething ring or massaging the gum have failed to provide sufficient relief if oral lidocaine-containing products are to be used, remind parents and caregivers to read (...) the advice in the Patient Information Leaflet carefully, especially for dose and administration, and to seek medical attention if their child’s condition does not improve advise parents and caregivers that other lidocaine products authorised in adults or for other conditions such as mouth ulcers should not be used for treatment of infant teething pain sugar-free paracetamol or ibuprofen suspensions, administered according to the approved indication and dose for weight and age, may also be considered
for Breastfeeding Mothers of Premature Infants section. B. In addition, the feeding plan should correct de?cits that arose during the NICU stay and minimize further nutrient de?cits after discharge. As the nutritional status of preterm infants varies widely, creating indi- vidualized feeding plans is the best approach. 1 Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York. 2 Department of Pediatrics and Child Health, Howard University College of Medicine, Washington, District (...) . Arch Dis Child Fetal Neonatal Ed 2009;94:F294–F297. 24. Ahnfeldt AM, Stanchev H, Jorgensen HL, et al. Age and weight at ?nal discharge from an early discharge pro- gramme for stable but tube-fed preterm infants. Acta Pae- diatr 2015;104:377–383. 25. Brodsgaard A, Zimmermann R, Petersen M. A preterm lifeline: Early discharge programme based on family- centred care. J Spec Pediatr Nurs 2015;20:232–243 26. Cohen RS, Mayer O, Fogleman AD. Managing the human-milk-fed, preterm, VLBW infant at NICU dis
rhIGF-1/rhIGFBP-3 in Preterm Infants: A Phase 2 Randomized Controlled Trial To investigate recombinant human insulin-like growth factor 1 complexed with its binding protein (rhIGF-1/rhIGFBP-3) for the prevention of retinopathy of prematurity (ROP) and other complications of prematurity among extremely preterm infants.This phase 2 trial was conducted from September 2014 to March 2016. Infants born at a gestational age of 230/7 weeks to 276/7 weeks were randomly allocated to rhIGF-1/rhIGFBP-3 (...) infants were allocated to rhIGF-1/rhIGFBP-3, 60 to standard care (full analysis set); 24 of 61 treated infants achieved target exposure (evaluable set). rhIGF-1/rhIGFBP-3 did not decrease ROP severity or ROP occurrence. There was, however, a 53% decrease in severe bronchopulmonary dysplasia in the full analysis set (21.3% treated vs 44.9% standard care), and an 89% decrease in the evaluable set (4.8% vs 44.9%; P = .04 and P = .02, respectively) for severity distribution between groups. There was also
Randomised study comparing heart rate measurement in newly born infants using a monitor incorporating electrocardiogram and pulse oximeter versus pulse oximeter alone To determine whether IntelliVue (ECG plus Masimo pulse oximeter (PO)) measures heart rate (HR) in low-risk newborns more quickly than Nellcor PO (PO alone).Unmasked parallel group randomised (1:1) study.We studied 100 infants, 47 randomised to IntelliVue, 53 to Nellcor. Time to first HR was shorter with IntelliVue ECG than Nellcor (...) (median (IQR) 24 (19, 39) vs 48 (36, 69) s, p<0.001). There was no difference in time to display both HR and SpO2 (52 (47, 76) vs 48 (36, 69) s, p=0.507). IntelliVue PO displayed initial bradycardia more often than the Nellcor (55% vs 6%). Infants monitored with IntelliVue were handled more frequently and for longer.IntelliVue ECG displayed HR more quickly than Nellcor PO. IntelliVue PO often displayed initial bradycardia. Infants monitored with IntelliVue were handled more often. Study of ECG in high
or neglect agree with practitioners how they will communicate with each other. Statement 5. Children and young people who have experienced abuse or neglect are offered therapeutic interventions based on a detailed assessment of therapeutic needs. [ ] Background information Background information Definition What is it? Note: for the purpose of this clinical summary we refer to an infant as aged less than 1 year, a child as aged less than 13 years, and a young person as aged 13-17 years. The National (...) have worked together to safeguard the child [ ; ; ; ] Prevalence How common is it? The actual prevalence of child maltreatment is unknown as it is recognized that a large proportion of affected children are not known to child protection services and police-recorded crime statistics do not necessarily reflect the actual number of offences committed. Children/young people of all ages can be affected, but the highest recorded incidence is in babies and toddlers. Around 80% of child abuse
foot (pes planus) is common in infants and children and has often resolved by adolescence. It is usually physiologic and of no functional consequence. Heel pain — heel pain is commonly reported in young children and adolescents and most causes are benign. Hypermobility — hypermobile joints are common. Many children do not have symptoms or associated problems. In-toeing — describes medial or internal rotation of the foot relative to the direction the child is moving in; most in-toeing will rectify (...) Developmental rheumatology in children. Scenario: Clumsy child Developmental rheumatology in children - NICE CKS Share Developmental rheumatology in children: Summary Musculoskeletal complaints are a common cause of visits to primary care, but a large proportion of these are for children and adolescents who are entirely healthy or who are developmentally within a normal physiological range. Presentations in children include: Back pain — in school-age children and adolescents, most back pain
Child health: Maternal dominance and reliance on over-the-counter analgesia can hinder development of healthy coping strategies for adolescents in pain Maternal dominance and reliance on over-the-counter analgesia can hinder development of healthy coping strategies for adolescents in pain | Evidence-Based Nursing Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search (...) for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Maternal dominance and reliance on over-the-counter analgesia can hinder development of healthy coping strategies for adolescents in pain Article Text Commentary Child health Maternal dominance and reliance on over-the-counter analgesia can hinder development of healthy coping strategies for adolescents in pain Amelia Swift
Facilitating discharge from hospital of the healthy term infant This statement provides guidance for health care providers to ensure the safe discharge of healthy term infants who are born in hospital and who are ≥37 weeks’ gestational age. Hospital care for mothers and infants should be family-centred, with healthy mothers and infants remaining together and going home at the same time. The specific length of stay for newborn infants depends on the health of their mother, infant health (...) and stability, the mother’s ability to care for her infant, support at home, and access to follow-up care. Many mother–infant dyads are ready to go home 24 h after birth. Parent or guardian education and assessment of discharge readiness are important components of discharge planning. Each infant must have an appropriate discharge plan, including identification of the infant’s primary health care provider and assessment by a health care provider 24 h to 72 h after discharge. Keywords
Weaning of Moderately Preterm Infants from the Incubator to the Crib: A Randomized Clinical Trial To assess whether length of hospital stay is decreased among moderately preterm infants weaned from incubator to crib at a lower vs higher weight.This trial was conducted in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Infants with gestational ages 29-33 weeks, birthweight <1600 g, and in an incubator were randomly assigned (...) to a weaning weight of 1600 or 1800 g. Within 60 to 100 g of weaning weight, the incubator temperature was decreased by 1.0°C to 1.5°C every 24 hours until 28.0°C. The infants were weaned to the crib following stable temperature at 36.5°C to 37.4°C for 8 to 12 hours. Clothing and bedcoverings were standardized. The primary outcome was length of hospital stay from birth to discharge; secondary outcomes included length of stay and growth velocity from weaning to discharge. Adverse events were monitored.Of
Effectiveness of a Hand Hygiene Program at Child Care Centers: A Cluster Randomized Trial Respiratory infections (RIs) are an important cause of morbidity and excessive antibiotic prescriptions in children attending day care centers (DCCs). We aimed to assess the effectiveness of an educational and hand hygiene program in DCCs and homes in reducing RI incidence and antibiotic prescriptions in children.A cluster, randomized, controlled, and open study of 911 children aged 0 to 3 years attending